5CA-10564-91995

4 vaccinations 5 coded responses 30 check-ins 5 free-text entries 1 call case

Sex: Male
Age at first dose: 66+
ZIP prefix: 483 / MI
Registered: 2021-03-02

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-26
Dose 1 — Pfizer-BioNTech
2021-03-02
Registered in v-safe
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-19
Dose 2 — Pfizer-BioNTech
2021-03-19
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Chills, Muscle or body aches

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Injection site reaction — Feeling: Good · Site: Pain · Joint pains

Free text: Shoulder near injection area. Dry coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site reaction, Musculoskeletal stiffness — Feeling: Good · Site: Pain · Joint pains

Free text: Shoulder near injection area and stiff neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-04-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-23
Survey response — day 35, dose 2
MedDRA: Injection site pain, Musculoskeletal stiffness — Feeling: Fair

Free text: Stiff neck on left side. slight pain on left shoulder specially near injection area. Feel it each morning but pain diminishes during the day. Next morning, same repeats again. Not sure if it relates to the vaccination or not. Happens since 1st dose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-20
Survey response — 3 months, dose 2
MedDRA: Pain — Feeling: Fair

Free text: Occasionally I still have some stinging sensation at my left arm especially when at rest sitting down. Does this indicate that the blood circulation in my left arm has not yet fully returned to normal? I had both jabs at my left upper arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-19
Dose 3 — Pfizer-BioNTech
2022-03-19
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-20
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-30
Dose 4 — Pfizer-BioNTech
2022-05-18
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-21
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-28
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-04
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-11
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-01
Survey response — 3 months, dose 4
MedDRA: COVID-19 — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: confirmed Covid

MedDRA releases: 2024-11 · check-in free text available
2022-08-01
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-02
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-30
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-30
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Pfizer-BioNTech
2	2021-03-19	Pfizer-BioNTech
3	2021-10-19	Pfizer-BioNTech	No
4	2022-04-30	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-24

Systemic reaction (other): Shoulder near injection area. Dry coughing

2021-03-25

Systemic reaction (other): Shoulder near injection area and stiff neck

Release 7 — day 35, dose 2

2021-04-23

Symptoms: Stiff neck on left side. slight pain on left shoulder specially near injection area. Feel it each morning but pain diminishes during the day. Next morning, same repeats again. Not sure if it relates to the vaccination or not. Happens since 1st dose. cut off by CDC

Release 9 — 3 months, dose 2

2021-06-20

Symptoms: Occasionally I still have some stinging sensation at my left arm especially when at rest sitting down. Does this indicate that the blood circulation in my left arm has not yet fully returned to normal? I had both jabs at my left upper arm.

Release 12 — 3 months, dose 4

2022-08-01

Symptoms: confirmed Covid

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
SD	COVID-19	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Injection site reaction	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release